Factors Associated With Time to Achieve Employment Through Occupational Support Programs in Patients With Mood Disorders

1 Year Naturalistic Study

Bibliographic Data

ID15529384
AuthorsTomonari Hayasaka (0000-0002-5555-0902, Kyorin University Hospital), Yoshikazu Takaesu (0000-0002-9169-3249, Kyorin University, corresponding author), Izumi Nagashima (Kyorin University Hospital), Miku Futada (Kyorin University Hospital), Kazuhiro Nozaki (Kyorin University), Takeshi Katagiri (Kyorin University Hospital), Yayoi Imamura (Kyorin University Hospital), Mariko Kurihara (Kyorin University), Yuki Oe (0000-0002-4947-5395, Kyorin University Hospital), Takashi Tsuboi (0000-0002-8253-8888, Kyorin University Hospital), Koichiro Watanabe (0000-0002-0736-7070, Kyorin University Hospital)
Year2021
Volume12
Pages617640-617640
Publication date2021-03-16
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.617640
PMID33796030
OpenAlexW3139319568
LanguageEN
Citations received2
References cited33

Objective: Mood disorders cause significant work performance disability in sufferers and often lead to adverse employment outcomes in working individuals. The aim of this study was to explore factors associated with time to achieve employment through the occupational support program (OSP) for patients with mood disorders. Methods: The participants were patients admitted to the Kyorin university hospital from April 2016 to April 2019. Patients who met the criteria for major depressive disorder and depressive episode of bipolar I or II disorder according to DSM-5 and participated in the occupational therapy-based OSP for at least three sessions (one course) were included in this study. We collected demographic and clinical variables at the baseline of this study through medical records and OSP records; the variables included age, gender, diagnosis, scores of Quick Inventory of Depressive Symptomatology and Global Assessment of Functioning, the number of times of participation in the OSP, word count of the transcription task in the OSP, typographical deficiency, fatigue status and mood status after the OSP. The primary outcome was set as the time to achieve the employment within 1 year after the discharge. Results: Of the 211 patients who participated in the OSP during the survey period, 49 participants met the criteria in this study. The results showed that 14 patients achieved and the other 35 patients did not achieve the employment within 1 year of discharge from the hospital. A multivariate cox regression analysis revealed that the word count of the transcription task in the OSP (HR = 1.03, 95% CI = 1.01-1.05, p = 0.016) and mood status after the OSP (HR = 2.77, 95% CI = 1.18-6.51, p = 0.019) were significantly associated with time to achieve the employment. Conclusion: In conclusion, this study suggested that work speed and mood response in the OSP could be significant predictors for achieving employment in patients with mood disorders

Anxiety · Bipolar disorder · Major depressive disorder · Medical record · Mood · Mood disorders · Multivariate analysis · Proportional hazards model · Psychiatry · Bipolar Disorder and Treatment · Clinical Psychology · Medicine · Mental Health Treatment and Access · Psychology · Treatment of Major Depression · Internal Medicine

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